Provider Demographics
NPI:1083310460
Name:WALDEN, HALEE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:HALEE
Middle Name:
Last Name:WALDEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:HALEE
Other - Middle Name:
Other - Last Name:RAPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8337 HIGHWAY 72 W STE 201
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9548
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8337 HIGHWAY 72 W STE 201
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9548
Practice Address - Country:US
Practice Address - Phone:256-533-7420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-163984363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily